• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki EGD with biopsy in esophagus and stomach

Create Wiki
L

lisagarza29@yahoo.com

Contributor
Messages
16
Location
Weslaco, TX
Best answers
0
How should I code this EGD with a biopsy done in the esophagus and the antrum? Would it be 43239 once or twice?
 
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple

The description is your clue. Whether the physician biopsied once or multiple during an EGD, you'll claim the service once.

It also has an MUE of 1.
 
Thank you

Good morning,

Thank you so much for your help! I had another question EGD with polypectomy by snare technique and biopsy with cold bx forceps both of stomacgh. Would this be 43239 as well or would it be two codes for ea technique used?
 
Both snare and biopsy is reportable if they were performed on separate lesions or sites. The documentation will need to be specific, especially if insurance requests notes.

I suggest reading the NCCI general policies and the policies listed right before the digestive system chapter. You can find the NCCI policy on the CMS website.
 
You must log in or register to reply here.
Top